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* blood 2
 #136163  
  kashmala - 11/07/06 03:24
 
  A 78-year-old male presents with worsening malaise
and fatigue over the past 5 months. He also has an en-
larged spleen. His CBC shows a hemoglobin concentration
of 10.6 g/dL, hematocrit of 29.8%, MCV of 92 fL/red cell,
platelet count of 95,000/#L, and WBC count of 4900//xuL.
The WBC differential count shows 67 segmented neutro-
phils, 4 bands, 2 metamyelocytes, 22 lymphocytes, 5 mono-
cytes, and 3 nucleated RBCs per 100 WBCs. The periph-
eral blood smear shows occasional tear-drop cells. An
examination of bone marrow biopsy and smear is most
likely to show
A Marrow packed with myeloblasts

B Marrow fibrosis with greatly reduced hematopoietic
islands
C Replacement of marrow by fat
D Presence of numerous megaloblasts
E Marked normoblastic erythroid hyperplasia
 
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* Re:blood 2
#546988
  malev - 11/07/06 03:27
 
  b.  
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* Re:blood 2
#546998
  kashmala - 11/07/06 04:09
 
  yes B is the answer.....  
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